Provider Information for 1992206866
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MELISSA MENDEZ
Sex: Female
NPI: 1992206866
Last Updated: 2023-05-19
Certification Date: 2023-05-19
Certification Date: 2023-05-19
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1992206866 | ||||||||
| Enumeration Date | 2018-02-26 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3909 58TH CIR VERO BEACH, FL 32966-6523 United States Phone: 317-340-0101 | Fax: | ||||||||
| Primary Practice Address | 8428 CHAPEL GLEN DR INDIANAPOLIS, IN 46234-2614 United States Phone: 317-340-0101 | Fax: | ||||||||
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